Individual
AEMON VIENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12450 VAN NUYS BLVD STE 200, PACOIMA, CA 91331-1393
(818) 896-1161
Mailing address
12450 VAN NUYS BLVD STE 200, PACOIMA, CA 91331-1393
(818) 896-1161
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
115217
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1954
—
CA
05
—
6758
—
CA
05
—
7068
—
CA
05
—
7420
—
CA
Enumeration date
05/28/2024
Last updated
05/28/2024
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